{"id":89870,"date":"2018-03-10T00:15:09","date_gmt":"2018-03-10T00:15:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/deteccio-del-gangli-sentinella-mitjana%c2%a7ant-limfogammagrafa%c2%ada-i-sonda-de-raigs-gamma-intraoperatoria-en-pacients-amb-melanoma-maligne\/"},"modified":"2018-03-10T00:15:09","modified_gmt":"2018-03-10T00:15:09","slug":"deteccio-del-gangli-sentinella-mitjana%c2%a7ant-limfogammagrafa%c2%ada-i-sonda-de-raigs-gamma-intraoperatoria-en-pacients-amb-melanoma-maligne","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/deteccio-del-gangli-sentinella-mitjana%c2%a7ant-limfogammagrafa%c2%ada-i-sonda-de-raigs-gamma-intraoperatoria-en-pacients-amb-melanoma-maligne\/","title":{"rendered":"Detecci\u00f3 del gangli sentinella mitjan\u00c1\u00a7ant limfogammagraf\u00edai sonda de raigs gamma intraoperat\u00f3ria en pacients amb melanoma maligne."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Sergi Vidal Sicart <\/strong><\/h2>\n<p>El melanoma maligno es un tumor que presenta un aumento de incidencia en los pa\u00edses desarrollados, estim\u00e1ndose, que, en la actualidad 1 de cada 90 personas pueden desarrollarlo a lo largo de su vida.  La afectaci\u00f3n de los ganglios linf\u00e1ticos regionales es un factor pron\u00f3stico importante en estos pacientes.  el tratamiento quir\u00fargico de la regi\u00f3n linf\u00e1tica en riesgo es controvertido ya que diversos grupos abogan por la realizaci\u00f3n de una linfadenectom\u00eda terap\u00e9utica (cuando los ganglios linf\u00e1ticos son cl\u00ednicamente palpables) mientras que otros grupos propugnan la realizaci\u00f3n de la linfadenectom\u00eda profil\u00e1ctica (en el curso inicial del diagn\u00f3stico, para intentar cuarar la enfermedad en un estad\u00edo precoz). No obstante, este \u00faltimo enfoque presenta el inconveniente que gran n\u00famero de pacientes ser\u00e1n intervendios de forma innecesaria, puesto que los ganglios linf\u00e1ticos regionales no presentar\u00e1n afectaci\u00f3n metast\u00e1sica (aproximadamente en un 80% de estos pacientes).  el concepto de ganglio centinela presupone que la diseminaci\u00f3n metast\u00e1sica se realiza de forma ordenada, por lo que existir\u00e1 un ganglio linf\u00e1tico (centinela), dentro del territorio ganglionar regional en riesgo, que recibir\u00e1 el drenaje directo del tumor primitivo, albergando las m\u00e1ximas posibilidades de ser el primer ganglio metast\u00e1sico y, por tanto, presentar la propiedad de poder predecir el estado del resto de ganglios linf\u00e1ticos del territorio en cuesti\u00f3n.  el objetivo de esta tesis doctoral es validar y establecer la t\u00e9cnica de localizaci\u00f3n del ganglio centinela mediante la utilizaci\u00f3n de linfogammagraf\u00eda prequir\u00fargica y una sonda detectora de rayos gamma en el acto operatorio. para ello se realiza el estudio gammagr\u00e1fico previamente a la cirug\u00eda y durante \u00e9sta se localiza el ganglio centinela mendiante la sonda detectora (debido a la radiactividad albergada en dicho ganglio). Asimismo se compara esta t\u00e9cnica con la realizada con color<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Detecci\u00f3 del gangli sentinella mitjan\u00c1\u00a7ant limfogammagraf\u00edai sonda de raigs gamma intraoperat\u00f3ria en pacients amb melanoma maligne.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Detecci\u00f3 del gangli sentinella mitjan\u00c1\u00a7ant limfogammagraf\u00edai sonda de raigs gamma intraoperat\u00f3ria en pacients amb melanoma maligne. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Sergi Vidal Sicart <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/04\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Francisca Pons Pons<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ignasi Carri\u00f3 gasset <\/li>\n<li>jordi Piulachs clapera (vocal)<\/li>\n<li>Manuel Sanz marin (vocal)<\/li>\n<li>Francisco Juan Lome\u00f1a  caballero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sergi Vidal Sicart El melanoma maligno es un tumor que presenta un aumento de incidencia en los [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[951,155,9,97,435,9343,347],"tags":[29301,69982,20206,186796,100496,186795],"class_list":["post-89870","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-clinicas","category-ciencias-medicas","category-dermatologia","category-medicina-del-trabajo","category-medicina-nuclear","category-oncologia-clinica","tag-francisca-pons-pons","tag-francisco-juan-lomena-caballero","tag-ignasi-carrio-gasset","tag-jordi-piulachs-clapera","tag-manuel-sanz-marin","tag-sergi-vidal-sicart"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89870","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=89870"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89870\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=89870"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=89870"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=89870"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}